Improved perioperative quality of life in endoscopic sinus surgery by application of enhanced recovery after surgery

Figures & data

Table 1 Implementation programs of the ERAS group and control group in the perioperative period

		ERAS protocols	Control group
Preoperative phase	Education	ERAS education was explained	Common processing
	Fasting for food and liquid	No food for 8 hours and no fluid for 2 hours before surgery	8 hours before surgery
	Carbohydrate	2 hours before surgery	None
	Pain management	NSAID was given the night before surgery	Common processing
Intraoperative phase	Analgesia management	Short-acting sedative and opioid analgesics	Long-acting sedative and opioid analgesics
	Pain management	Topical tetracaine and lidocaine were administered	Common processing
	Temperature monitoring	Avoidance of hypothermia	Common processing
	Fluid management	Fluid and saline infusions were reduced	Common processing
Postoperative phase	Pain management	NSAID was given twice for 24 hours after surgery	Common processing
	Early eating and drinking	2 hours after surgery	6 hours after surgery
	Early out-of-bed activity	2 hours after surgery	6 hours after surgery

Abbreviations: ERAS, endoscopic sinus surgery; NSAID, non-steroidal anti-inflammatory drug.

Table 2 SNOT-22 assessment of the ERAS group and control group in the perioperative period

	Preoperative		POD1*		POD3		POD6
	ERAS	Control	ERAS	Control	ERAS	Control	ERAS	Control
Rhinological symptoms	14.14±2.87	14.16±1.92	16.67±2.33	20.34±1.10	15.52±2.25	16.15±1.42	13.70±1.77	13.82±1.23
Extranasal rhinological symptoms	6.03±2.38	6.29±1.49	8.03±2.31	9.10±2.20	7.56±2.30	8.03±2.01	6.11±1.89	6.34±1.56
Ear/facial symptoms	5.14±2.21	5.08±2.02	7.42±2.13	8.63±2.62	6.67±2.39	6.92±2.56	4.92±1.89	4.92±2.16
Psychological dysfunction	3.16±1.36	3.18±1.18	5.56±1.70	6.81±1.04	5.52±2.13	5.84±2.30	4.14±1.66	4.32±1.10
Sleep dysfunction	11.41±3.06	11.81±2.94	14.11±3.16	17.13±1.54	12.94±3.04	14.16±2.44	10.53±2.05	10.73±2.49
SNOT-22 total score	39.89±4.86	40.52±3.61	51.77±5.59	62.02±3.86	48.22±6.22	51.11±5.14	39.39±4.73	40.13±3.31

Note: Data are shown as mean ± SD; *p<0.05.

Abbreviations: ERAS, enhanced recovery after surgery; POD, postoperative day; SNOT-22, 22-item Sinonasal Outcomes Test.